If you have nerve inflammation causing pain, discomfort, radiating pain and/or numbness down the leg you will likely be offered a steroid injection. Epidural steroid injections are given to reduce inflammation in the nerves that pass through the spinal canal. Patients are unaware that Piezowave therapy also known as myofascial acoustic compression therapy is another treatment option that is non-invasive and does not have side effects like steroid injections. “Sciatica,” is a common diagnosis that is used to describe injury or compression of the sciatic nerve.
Dr. Alison Stout of the Spine and Musculoskeletal Medicine, Rehabilitation Care Services, Veterans Administration said: “Epidural steroid injection has been used as a treatment for low back pain for over 50 years. In the last 10 to 15 years, there has been a significant increase in (their use) for the treatment of low back pain and radicular pain without clear improvements in outcomes.”
As a chronic pain specialists I see many patients with radiating lower back pain. When I first examine new patients I make sure they have the proper diagnosis. If you really have sciatica Piezowave is an acoustic pulse that penetrates to a depth of .5mm and 3 cm influencing nerve irritation to heal. If epidural steroid injections have failed then I recommend a trial of the safe and effective Piezowave therapy.
Call 310-444-9393 for an appointment
PEMF therapy has been shown to help
Chronic low back pain
Rotator cuff tendinitis
Arthroscopic knee surgery
Lumbar fusion surgery
The following effects were observed with PEMF:
Enhancement of capillary formation
Faster functional recovery
Reduction in depth, area, and pain in skin wounds
Reduced muscle loss after ligament surgery
Increased tensile strength of ligaments
Acceleration of nerve regeneration and functional recovery.
Every cell in our bodies work as independent electrical circuits, accumulating and holding an electrical charge.
PEMF therapy is a noninvasive process shown to have several biological effects that contribute not just to pain relief and tissue healing but overall wellness by influencing mitochondrial function.
PEMFs should not be confused with dirty electricity, EMFs, or electrosmog, which radiate from cell towers, cell phones, power lines, appliances, and other devices.
During PEMF therapy, no electricity touches the body. Rather magnetic fields pass freely through the cells, charging them like depleted batteries to optimize metabolic function and turn on natural repair processes.
Jerry Tennant, MD, MD(H), PScD states that every cell in the body is designed to run at -20 to -25 millivolts. To heal, we must make new cell, a process that requires -50 millivolts. Chronic disease occurs when voltage drops below -20 and the body cannot achieve -50 millivolts to efficiently make new cells. Therefore, chronic disease can be seen as a condition of low voltage.
Call 310-444-9393 to try the MagnaWave PEMF therapy in our office.
I use hands-on therapy combined with the latest technology such as shockwave, laser, and magnet therapy. This method stimulates the body to break up old adhesions and scar tissue. This helps acute and chronic pain related to soft tissue and joint abnormalities that are both on the deep inner and outer surfaces of the body.
I also use ELDOA exercises to release tight tissue and create space at specified vertebral joints throughout the spine.
My treatments can be used with acupuncture or other physical therapy treatments. My methods complement acupuncture, physical therapy, and stem cell injection treatments. Using all of the available treatment modalities can be an effective approach to working with difficult and chronic pain cases and help restore lost motion.
Call 310-444-9393 for an appointment
Patients who come to see me with neck pain receive a comprehensive examination. I have a therapeutic approach that involves hands-on therapy of the soft tissue and spinal segments.
“This is a comprehensive system of physical therapy and chiropractic”
The techniques I use are aimed to decrease pain intensity, improve function and physical quality of life. My treatments are safe and cost-effective.
“If you need an MRI or x-ray we can order that for you”
Treatments I use are becoming more and more popular for pain. These include deep tissue laser therapy, shockwave massage and high frequency magnet therapy.
“I use the principles of ELDOA, EGOSQUE, PILATES and FELDENKRAIS”
ELDOA exercises, along with soft tissue therapy, chiropractic care and the latest technology in physical therapy sports medicine, are the method I developed to treat specific painful areas. Because I use a complete system, the treatment often helps both pain and range of motion.
Patients who come to see me with chronic neck pain receive a comprehensive therapeutic approach that involves hands-on therapy of the soft tissue and spinal segments.
The techniques I use are aimed to decrease neck pain intensity, improve function and physical quality of life. My treatments are safe and cost-effective.
Treatments I use are becoming more and more popular for neck pain. These include laser massage, shockwave massage and magnet therapy.
If you need an MRI or x-ray we can order that for you
This is a comprehensive system of physical therapy, chiropractic, and the principles of ELDOA, PILATES and FELDENKRAIS.
Biohacks are things we can do that supports optimal inflammatory response, enhanced relaxation, improved sleep quality, improved brain function and improved body structure (fat to lean muscle mass ratios, strength, etc).
Tumeric Forte is a curcumin-rich product where the curcumin is absorbed and utilized up to 45 times greater by your body than standard curcumin products. This is my premier herbal anti-inflammatory, and it helps improve memory, helps regulate glucose metabolism. I think every adult should be using Tumeric Forte. Call the office to have it shipped directly to you.
Laser Therapy. Stem cells are becoming a mainstay treatment for chronic pain and athletic injuries. Laser therapy can be used as a biologic agent to increase stem cells and blood platelets to help manage bony and soft tissue conditions. I especially like laser therapy for those who already have osteoarthritis especially of the knee.
PEMF (Magnet therapy). Clinical evidence lends support for PEMF. The benefits of ‘Magawaving’ include: it stimulates electrical changes — around and within the cell; Activates and promotes cell regeneration; can alleviate the symptoms of arthritis; improves circulation; can help relieve the symptoms of depression and it promotes bone healing.
Shockwave Therapy. Research investigating the role of shockwave therapy for chronic tendon injuries such as Achilles tendon and plantar fasciitis is ongoing and positive. I like seeing the results I get helping break up scar tissue and improve range of motion with my 3 different types of shockwave machines.
SP Detox Balance. This powder makes a delicious shake that helps the organ system detox nice and slow on a daily basis. SP Detox Balance will support and nourish your body so that it does its job properly – helping you increase energy, lose weight, reduce nagging and unpleasant symptoms, improve your mood, and have more vitality. This is part of my biological approach to staying the right weight.
Bio hack number 6 is the Ideal Protein program. This is my weight loss program to help get you at your ideal and proper weight. I use the ketogenic diet which has been confirmed by numerous clinical trials as a major biohack for your weight loss and healthy living program.
Bio hack number 7 is teaching my patients ELDOA exercises. These poses will create space in the spine and help you improve your posture and feel better.
In addition to all of the above, I offer other intensive programs to help my patients achieve good health and well being. Feel free to call and talk to us! 310-444-9393
1 Kopka M, Bradley JP. The Use of Biologic Agents in Athletes with Knee Injuries. J Knee Surg. 2016 May 20. [Epub ahead of print]
2 Filardo G, Perdisa F, Roffi A, Marcacci M, Kon E. Stem cells in articular cartilage regeneration. Journal of Orthopaedic Surgery and Research. 2016;11:42. doi:10.1186/s13018-016-0378-x.
3 Yang X, Zhu TY, Wen LC, Cao YP1, Liu C, Cui YP, Meng ZC, Liu H. Intraarticular Injection of Allogenic Mesenchymal Stem Cells has a Protective Role for the Osteoarthritis. Chin Med J (Engl). 2015 20th Sep;128(18):2516-2523. doi: 10.4103/0366-6999.164981.
Shockwave therapy and laser therapy are two biohacks for damaged discs and bulges
Contact the office at 310-444-9393.
Both Shockwave and laser help damaged disc and bulges by:
• Stem cell activation: Stem cells are effective in inhibiting disc degeneration and disc herniation. It’s a pretty complex interplay between the stem cells and the immune system cells but the result can be disc tissue regeneration.
• Stem cell activation: Shockwave will promote regeneration of the outer tissue of the disc. As you improve the regeneration, this helps contain and lessen the bulge (scar tissue formation).
• Stem cell activation: Laser increases the number of cells to the area which brings more oxygen to the damaged disc and accelerates healing by reversing the low-oxygen (degenerative or dying) environment in the spine. Everything heals better and faster with increased oxygen.
• Stem cell activation: Laser reduces and prevents herniation by suppressing the non-healing inflammation.
Cunha C, Almeida CR, Almeida MI, Silva AM, Molinos M, Lamas S, Pereira CL, Teixeira GQ, Monteiro AT, Santos SG, Gonçalves RM, Barbosa MA. Systemic Delivery of Bone Marrow Mesenchymal Stem Cells for In Situ Intervertebral Disc Regeneration. Stem Cells Transl Med. 2016 Oct 11. pii: sctm.2016-0033.
When manipulation doesn’t work anymore for your low back pain many Chiropractors don’t know what else to do. I make sure patients learn how to “stabilize the spine” and strengthen the spine using personalized and customized exercises. I am also teaching patients ELDOA methods that will create more space for the nerves close to the spine. ELDOA poses also help stretch the fascia and muscles close to the spinal vertebrae. This is why I see many patients who have already had physical therapy or chiropractic care from other doctors.
I’m happy to work together to address the cause of your pain – muscle tightness, ligament weakness or laxity, disc injury or you just want healthy aging.
The goal of epidural injections and surgery is to provide pain relief. The goal of shockwave therapy (Zimmer, Storz, Piezowave), Magnet therapy (Magnawave), and laser therapy (TheraLase, LightForce) is to provide a healing environment inside the body leading to pain relief. Epidural injections do not heal a bad back. Shockwave, laser, magnet therapy, exercise and hands-on therapy will help heal a bad back.
Some patients do get epidural steroid injections and find short-term pain relief. Often times this sense of immediate pain relief prevents people from getting the proper treatment for his/her long term back pain care.
A study from Vanderbilt University discusses the use of epidural injection treatments and spinal surgery:
…surgery is superior to epidural steroid injections for improving quality of life and pain, however after a year neither the surgery or the epidural steroid injections significantly helped improve the patient’s disability.(1)
Johns Hopkins School of Medicine, Walter Reed National Military Medical Center, University of Toronto researchers describe:
Epidural steroid injections provide modest pain relief up to 3 months in patients with lumbosacral radicular pain caused by herniated disks, but they have no impact on physical disability or incidence of surgery.(2)
The Chinese University and Prince of Wales Hospital in Hong Kong: …transforaminal epidural steroid injection cannot alter the need for surgery in the long term.(3)
Department of Orthopedic Surgery, Thomas Jefferson University, Rothman Institute:
For some patients epidural steroid injections did not work at all. “Patients with lumbar disc herniation treated with epidural steroid injection had no improvement in short or long-term outcomes compared with patients who were not treated with epidural steroid injection.” (4)
THE PROBLEM you as a patient face: Epidural steroid injections are still one of the most frequently performed low back pain procedures. BUT, epidural steroid injections really should be questioned for lack of effectiveness, and may be dangerous.
Patients need to know that they have alternatives. Rather than exposing patients to risks from injections and dangerous complications, I start low back treatment with non-invasive shockwave, laser, or magnet therapy, combined with skilled hands-on therapy and ELDOA exercise training. (5) Doesn’t this make sense?
Call 310-444-9393 for an appointment
1 Sivaganesan A, Chotai S, Parker SL, McGirt MJ, Devin CJ. 161?Patient-Reported Outcomes After Epidural Steroid Injections vs Surgery for Degenerative Lumbar Disease: A Prospective, Matched Cohort Study. Neurosurgery. 2016 Aug;63 Suppl 1:164-5. doi: 10.1227/01.neu.0000489730.99853.c3.
2. Bhatia A, Flamer D, Shah PS, Cohen SP. Transforaminal Epidural Steroid Injections for Treating Lumbosacral Radicular Pain from Herniated Intervertebral Discs: A Systematic Review and Meta-Analysis. Anesth Analg. 2016 Mar;122(3):857-70. doi: 10.1213/ANE.0000000000001155.
3. Leung SM, et al. Clinical value of transforaminal epidural steroid injection in lumbar radiculopathy. Hong Kong Med J. 2015 Aug 14. doi: 10.12809/hkmj144310. [Epub ahead of print]
4. Radcliff K, Hilibrand A, Lurie JD, Tosteson TD, Delasotta L, Rihn J, Zhao W, Vaccaro A, Albert TJ, Weinstein JN. The Impact of Epidural Steroid Injections on the Outcomes of Patients Treated for Lumbar Disc Herniation: A Subgroup Analysis of the SPORT Trial J Bone Joint Surg Am. 2012 Jun 27. doi: 10.2106/JBJS.K.00341. [Epub ahead of print]
5. Epstein NE The risks of epidural and transforaminal steroid injections in the Spine: Commentary and a comprehensive review of the literature Spine: 2013;3:74-93 6. Stout A. Epidural steroid injections for low back pain. Phys Med Rehabil Clin N Am. 2010 Nov;21(4):825-34.
A new study published by Dedes V et al. called Effectiveness and Safety of Shockwave Therapy in Tendinopathies (Mater Sociomed. 2018 Jun;30(2):131-146. doi: 10.5455/msm.2018.30.141-146) concluded:
“Shockwave therapy significantly reduced the pain that accompanies tendinopathies and improves functionality and quality of life. It might be first choice (for treating tendinopathies) because of its effectiveness and safety.”
People suffering from tendinopathies exhibit reduced mobility due to the pain caused by the movement of the tendons involved. Shockwave therapy is non-invasive, simple, fast and safe for tendon injuries.
Shockwave therapy is especially helpful in the treatment of elbow tendinopathy, Achilles tendinopathy, plantar fasciitis and rotator cuff tendinopathy.
It can help reduce pain, improve function and quality of life.
Call 310-444-9393 for an appointment